Deficiency Records for Hillsdale Hospital Mcguire and Macritchie Ltcu
Updated as of March 01, 2024
A list of the most recent deficiencies for Hillsdale Hospital Mcguire and Macritchie Ltcu. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-09 | 2023-11-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-04 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-15 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-15 | 2022-09-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-16 | 2022-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-16 | 2022-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-16 | 2022-09-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-16 | 2022-09-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-16 | 2022-09-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-16 | 2022-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-15 | 2022-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-30 | 2021-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-30 | 2021-07-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-30 | 2021-07-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-30 | 2021-07-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-06-30 | 2021-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-30 | 2021-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-30 | 2021-07-16 | N |
